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General NPI Number Information
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NPI Number | 1801479423
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Entity Type | Individual
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Provider Name | HEATHER RENEE MILLER RDH
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Gender | Female
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Dates
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Enumeration Date | 05/02/2021
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Last Update Date | 05/02/2021
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Provider Practice Location Address
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Address Line | 10425 FAIR OAKS BLVD
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City | FAIR OAKS
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State | CA
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Zip | 95628-7559
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Country | US
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Telephone | 916-965-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 159 EASY WAY APT A
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City | AUBURN
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State | CA
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Zip | 95603-4652
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Country | US
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Telephone | 970-699-8820
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H7269
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License Number State | OR
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